Individual
CHRISTINA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 OCEAN AVE, REVERE, MA 02151-3675
(781) 485-6300
Mailing address
300 OCEAN AVE, REVERE, MA 02151-3675
(781) 485-6100
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2308758
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2308758
MA
Other
Enumeration date
03/29/2025
Last updated
07/28/2025
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